Implementation of Cognitive Therapy for PTSD in routine clinical care: Effectiveness and moderators of outcome in a consecutive sample

ObjectiveTrauma-focused psychological treatments are recommended as first-line treatments for Posttraumatic Stress Disorder (PTSD), but clinicians may be concerned that the good outcomes observed in randomized controlled trials (RCTs) may not generalize to the wide range of traumas and presentations seen in clinical practice. This study investigated whether Cognitive Therapy for PTSD (CT-PTSD) can be effectively implemented into a UK National Health Service Outpatient Clinic serving a defined ethnically mixed urban catchment area.MethodA consecutive sample of 330 patients with PTSD (age 17–83) following a wide range of traumas were treated by 34 therapists, who received training and supervision in CT-PTSD. Pre and post treatment data (PTSD symptoms, anxiety, depression) were collected for all patients, including dropouts. Hierarchical linear modeling investigated candidate moderators of outcome and therapist effects.ResultsCT-PTSD was well tolerated and led to very large improvement in PTSD symptoms, depression and anxiety. The majority of patients showed reliable improvement/clinically significant change: intent-to-treat: 78.8%/57.3%; completer: 84.5%/65.1%. Dropouts and unreliable attenders had worse outcome. Statistically reliable symptom exacerbation with treatment was observed in only 1.2% of patients. Treatment gains were maintained during follow-up (M = 280 days, n = 220). Few of the selection criteria used in some RCTs, demographic, diagnostic and trauma characteristics moderated treatment outcome, and only social problems and needing treatment for multiple traumas showed unique moderation effects. There were no random effects of therapist on symptom improvement, but therapists who were inexperienced in CT-PTSD had more dropouts than those with greater experience.ConclusionsThe results support the effectiveness of CT-PTSD and suggest that trauma-focused cognitive behavior therapy can be successfully implemented in routine clinical services treating patients with a wide range of traumas.     

Effects of three training types on vitality among older adults: A self-determination theory perspective

ObjectivesTo investigate effects of endurance, functional and strength training on subjective vitality in older adults. Using the self-determination theory (SDT) framework we tested the moderating effects of autonomy support and mediating effects of need satisfaction on participants’ changes in vitality.DesignParallel-groups randomized controlled trial.Methods138 older adults (M = 74.2 years, SD = 4.5) were randomized to a training group or wait-list control, with assessments at baseline, at 7 weeks (short term), and 16 weeks (long term). Mixed models provided estimates of treatment effects, with covariates for moderating effects of autonomy support and mediating effects of need satisfaction (autonomy, competence, relatedness). Inferences were based on uncertainty in standardized effect-sizes (ES) in relation to a smallest important ES of 0.20.ResultsAt short term, effects on vitality were moderate for endurance training (ES = .70, ±.44), and small for functional (ES = .54, ±.36) and strength training (ES = .21, ±.47). At long term only endurance training had a clear effect on vitality (ES = .27, ±.38). Perceived autonomy support moderated the effect of endurance training at short term (ES = .66, ±.66), and functional training at long term (ES = .23, ±.40). Change in competence mediated the effect of functional and strength training at long term, while in endurance training high perceptions of autonomy support moderated the mediation effect of competence on vitality.ConclusionsEndurance training is recommended for increasing subjective vitality in older adults. Moderating effects of autonomy support and mediating effects of need satisfaction are partially consistent with self-determination theory.     

Clinical supervision in cognitive behavior therapy improves therapists’ competence: a single-case experimental pilot study

ABSTRACT

Clinical supervision is a cornerstone in psychotherapists’ training but there are few empirical evaluations on the effects of supervision on therapists’ competencies. The aim of this study was therefore to evaluate the effects of standardized supervision on rater-assessed competency in Cognitive Behavior Therapy (CBT). Six therapists with basic training in CBT were provided with protocol-based clinical supervision in CBT in a single-case experimental multiple baseline design. The supervision focused on specific CBT competencies and used experiential learning methods such as role-play. Each therapist recorded weekly treatment sessions during phases without and with supervision. The therapists’ CBT competence was assessed by third-party raters using the Revised Cognitive Therapy Scale (CTS-R). Statistical analyses showed that the therapists’ CTS-R scores increased significantly during the phase with supervision with a mean item increase of M = 0.71 (range = 0.50–1.0) on the supervision focus areas. This is one of the first empirical studies that can confirm that supervision affect CBT competencies. The results also suggest that supervision can be manualized and that supervisees have a positive perception of more active training methods. Further studies are needed to replicate the results and to find ways to improve the impact of supervision.     

Effects of motor-cognitive coordination training and cardiovascular training on motor coordination and cognitive functions

ObjectivesNumerous recent studies showed that physical training can enhance cognitive abilities, such as attention, spatial ability, memory performance, and executive functions. However, most of these studies focused on the efficiency of cardiovascular training, whereas evidence for combined motor-cognitive training emphasizing coordination abilities is scarce. Therefore, the aim of the present study was to investigate the effects of motor-cognitive coordination training and moderate cardiovascular training on cognitive functions and to test whether these effects were related to participant's fitness level.Design and methodWe tested 50 physically active (mean age = 23.5 years, SD = 3.2) and 56 sedentary participants (mean age = 23.4 years, SD = 3.2) in a pretest-training-posttest design with 12 sessions of moderate cardiovascular training (≈60% HRmax) or motor-cognitive coordination training. The training groups were compared to a passive control group. At pretest and posttest, participants performed an untrained motor-cognitive coordination task, measures of executive control (cognitive flexibility, inhibition, working memory), spatial ability, and fluid intelligence.Results and conclusionsWe found improved coordination abilities in the coordination training group, but no transfer of training to cognitive measures in physically active participants. However, sedentary participants showed larger improvements in terms of inhibition in the coordination training group compared to the remaining groups, while the cardiovascular training group improved in cognitive flexibility compared to the remaining groups. In sum, there are positive but differential effects of cardiovascular training and coordination training on cognitive performance in sedentary young participants, suggesting that coordination training may be a useful intervention especially for individuals that cannot perform cardiovascular training.     

Using motivation regulations in a person-centered approach to examine the link between social physique anxiety in physical education and physical activity-related outcomes in adolescents

ObjectivesThis study explored how social physique anxiety (SPA) combined with different patterns of motivation regulations might facilitate versus deter effort and enjoyment in physical education (PE) and leisure-time physical activity.DesignCross-sectional survey.MethodsHigh school students (N = 298; M_age = 15.72, SD_age = 1.24 years) completed an in-class survey including SPA in PE, motivation regulations for PE, enjoyment and effort in PE and leisure-time physical activity.ResultsFour profiles of students were identified in cluster analysis based on autonomous motivation, introjected regulation, external regulation and SPA. Profile one (“high diverse motivation”; n = 84) reflected relatively high motivation across all regulations and average SPA. Profile two (“moderate autonomous motivation”; n = 92) included those with average scores on autonomous motivation and relatively low scores on introjected and external regulation and SPA. Profile three (“moderate diverse motivation and anxious”; n = 59) had relatively high SPA combined with average motivation regulations. Profile four (“externally controlled and anxious”; n = 63) also had relatively high SPA but relatively low autonomous motivation and introjected regulation and relatively high external regulation. MANOVA results showed that “externally controlled and anxious” students reported the lowest physical activity behavior and enjoyment in PE. Conversely, the “moderate diverse motivation and anxious” students have physical activity experiences that do not differ from the two profiles that exhibited lower SPA.ConclusionsHigher feelings of SPA in PE appear linked with lower levels of enjoyment and effort in PE and leisure-time physical activity outside of school only when coupled with higher external regulation. This finding helps explain inconsistent associations between SPA and physical activity outcomes.     

Goal orientation,evaluative fear,and perceived coach behavior among competitive youth swimmers in Germany and Japan

ObjectivesThe primary objective of this study was to compare youth athletes from two culturally distinct nations (Germany and Japan) on key aspects of their psychological make-up (goal orientation, fear of evaluation) and perceived coach support.DesignData were obtained with questionnaires distributed during a training session and analyzed with regression as well as multivariate and univariate analyses of variance.MethodThere were 56 German (30 female, 26 male) and 117 Japanese (60 female, 57 male) swimmers with a mean age of 13.2 (SD = 2.0) and 14.1 (SD = 1.8) years, respectively. All of the athletes participated regularly in high-level competitions.ResultsAs hypothesized, the German athletes were more task than ego oriented and more task focused than the Japanese, whereas the latter group had higher ego orientation scores than the German swimmers and put similar emphasis on both task and ego concerns. Contrary to expectations, however, there were no differences between the national cohorts in evaluative fear. The Japanese swimmers perceived their training climates to be more competition oriented than did the German participants. In terms of coach–athlete interactions, the German athletes reported significantly more instruction, positive feedback, and social support than the Japanese. Coach variables contributed significantly to the Japanese participants' feelings of satisfaction, with no such correlations in the German sample.ConclusionsResults are interpreted through cultural traditions and may be partly explained by differences in individualism. Practical recommendations for coaches and consultants are offered in light of the research findings.     

Obsessive beliefs and uncertainty in obsessive compulsive and related patients

Background/objectiveThe aim of the present study was to examine obsessive beliefs and intolerance of uncertainty differences among patients Obsessive compulsive disoreder (OCD), trichotillomania, excoriation, generalized anxiety disorder (GAD) and a control group healthy.Method130 participants between the ages of 17 and 62 years (Mean = 29.56, SD = 11.81) diagnosed with OCD (n = 36), trichotillomania (n = 18), excoriation (n = 17), GAD (n = 31) and a healthy control group (n = 28) were evaluated by Obsessive Beliefs Spanish Inventory-Revised and Intolerance of Uncertainty Scale.ResultsThe trichotillomania group presented one of the highest obsessive beliefs highlighting over-importance of thoughts, thought action fusion-moral, importance of controlling one's thoughts. The OCD group also had higher scores in inflated responsibility and thought action fusion-likelihood. The GAD group excelled in inhibitory and prospective uncertainty. The level of depression influenced obsessive beliefs while anxiety affected inhibitory and prospective uncertainty.ConclusionsCognitive variables such as obsessive beliefs and Intolerance of Uncertainty should be considered in the prevention and intervention of obsessive and anxiety disorders.     

Three preparatory studies for promoting implementation of outpatient schema therapy for borderline personality disorder in general mental health care

ObjectiveThree studies were conducted to prepare for the implementation of Schema Therapy (ST) for Borderline Personality Disorder (BPD) in general mental healthcare settings. Two were surveys to detect promoting and hindering factors, one was a preliminary test of a training program in ST.MethodsIn 2004, a diagnostic analysis of factors promoting and hindering implementation of a new treatment for BPD was conducted among both managers (n = 23) and therapists (n = 49) of 29 Dutch mental healthcare institutes through a written survey (Study 1). Next, a training program, including a set of DVDs displaying the major therapeutic techniques, was developed and tested among eight therapists. The training program was evaluated by the participants. After the training, three independent raters evaluated therapists' adherence and competence, viewing videos of the therapists completing structured role-plays (Study 2). In 2008, a second written survey was conducted in 22 mental health institutes to study factors for future nationwide implementation of ST (Study 3).ResultsBoth surveys indicated that the situation in most institutes was favorable for implementing a new effective treatment, as participants were not satisfied with the existing treatments, had suitable professional backgrounds, worked in settings with (B)PD-oriented care programs, and expressed a need for change. The surveys yielded clear results for promoting or hindering successful implementation of ST. Promoting factors included scientific evidence for the effectiveness of the treatment, structural changes in the patient's personality, rapidly noticeable effects for the patient, low drop-out rates and a favorable cost-effectiveness. Possible barriers included implementation mandated unilaterally by management, choosing ST based on financial or organizational needs, extending implementation over a lengthy period of time and providing telephone support by therapists beyond office hours. The eight-day training program received very positive ratings. After the training, therapists were rated as sufficiently adherent and competent applying ST to treat BPD patients, with peer supervision and supervision recommended as a supplement to the training.ConclusionThis study showed that the situation in 2005 was advantageous to start implementation of ST. Evaluation of the training and the achieved competence scores of trainees concluded that the training program was a good basis for training therapists in ST. Outcome of the survey in 2008 demonstrated that there was a clear interest for implementation of ST for BPD patients in the future.     

Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders

ObjectiveTo compare a mindfulness-based intervention with cognitive behavioral therapy (CBT) for the group treatment of anxiety disorders.MethodOne hundred five veterans (83% male, mean age = 46 years, 30% minority) with one or more DSM-IV anxiety disorders began group treatment following randomization to adapted mindfulness-based stress reduction (MBSR) or CBT.ResultsBoth groups showed large and equivalent improvements on principal disorder severity thru 3-month follow up (ps < .001, d = ?4.08 for adapted MBSR; d = ?3.52 for CBT). CBT outperformed adapted MBSR on anxious arousal outcomes at follow up (p < .01, d = .49) whereas adapted MBSR reduced worry at a greater rate than CBT (p < .05, d = .64) and resulted in greater reduction of comorbid emotional disorders (p < .05, d = .49). The adapted MBSR group evidenced greater mood disorders and worry at Pre, however. Groups showed equivalent treatment credibility, therapist adherence and competency, and reliable improvement.ConclusionsCBT and adapted MBSR were both effective at reducing principal diagnosis severity and somewhat effective at reducing self-reported anxiety symptoms within a complex sample. CBT was more effective at reducing anxious arousal, whereas adapted MBSR may be more effective at reducing worry and comorbid disorders.     

Understanding social networks and social support resources with sports coaches

ObjectivesResearch on social support with sports coaches is limited, yet the benefits of social support within other occupations have been widely reported. This study explored sports coaches’ social network structures, the social support resources available to coaches, and the situations in which coaches use social support.DesignCross-sectional.MethodData were collected with male (n = 6) and female (n = 7) British coaches (M_age = 34.20, SD = 13.37; M_experience = 13.20, SD = 10.41) using semi-structured interviews and interviewee-aided sociograms. Interview data and sociograms were analyzed using abductive thematic analysis and social network analysis to create ego-network diagrams. The ego-network diagrams were created to provide information on the locality and influence of coaches’ social network members.ResultsThe ego-network diagrams highlight that the structure of coaches’ social networks encompasses support from peers, friends, family, and miscellaneous (e.g., media). The diagrams also demonstrate that support from friends tended to be perceived as most influential. The coaches called on their network for appraisal (e.g., affirmation), emotional (e.g., venting), informational (e.g., training), and or instrumental support (e.g., cooking dinner) for a variety of situations, such as training (e.g., drill ideas) and issues with athletes (e.g., venting about a misbehaving player).ConclusionGiven the pertinence of coaches’ social networks and resources for performance and psychological well-being, coach education programs should include a focus on the importance of building relationships. Longitudinal research methods are warranted to, for example, explore the dynamic functions of coaches’ social support. This will develop a more comprehensive base from which interventions can be developed.     

Does the Animal Fun program improve social-emotional and behavioural outcomes in children aged 4–6 years?

Animal Fun was designed to enhance motor and social development in young children. Its efficacy in improving motor skills was presented previously using a randomised controlled trial and a multivariate nested cohort design. Based on the Environmental Stress Hypothesis, it was argued that the program would also result in positive mental health outcomes, investigated in the current study. Pre-intervention scores were recorded for 511 children aged 4.83–6.17 years (M = 5.42, SD = .30). Intervention and control groups were compared 6 months following intervention, and again in their first school year. Changes in teacher-rated prosocial behaviour and total difficulties were assessed using the Strengths and Difficulties Questionnaire, and data analysed using Generalised Linear Mixed Models. There was a significant improvement in prosocial behaviour of children in the intervention group six months after initial testing, which remained at 18-month follow-up. Total difficulties decreased at 6 months for the intervention group, with no change at 18 months. This effect was present only for the hyperactivity/inattention subscale. The only significant change for the control group was an increase in hyperactivity/inattention scores from pre-intervention to 18-month follow-up. The Animal Fun program appears to be effective in improving social and behavioural outcomes.     

Therapist Self-Efficacy in Delivering Cognitive Processing Therapy in a Randomized Controlled Implementation Trial

Efforts to improve the implementation of evidence-based treatments (EBT) have recently made important strides. One such example is understanding the vital role that weekly consultation plays as therapists learn to deliver an EBT. Because mechanism-based research can further support EBT implementation, the present study sought to examine the potential relationship between therapist self-efficacy in relation to treatment fidelity and outcomes.We examined therapist self-efficacy ratings from 80 therapists working with 188 patients. These data were collected as part of a randomized controlled implementation trial testing cognitive processing therapy (CPT). Across post-workshop training conditions, we ran multilevel models to assess (1) changes in therapist self-efficacy, (2) therapist self-efficacy in relation to treatment fidelity, and (3) therapist-self-efficacy in relation to patient PTSD symptom outcomes.We found that therapist self-efficacy significantly improved over the course of 6 months of CPT training. Baseline therapist self-efficacy was differentially associated with client outcomes based on post-workshop training condition. Specifically, therapists with low self-efficacy that did not receive post-workshop consultation tended to have poorer outcomes than therapists with low self-efficacy that received consultation. In the present sample, therapist self-efficacy was not related to treatment fidelity.As this was the first study to examine therapist self-efficacy in the implementation of an evidence-based treatment, our findings suggest that self-efficacy may be an important implementation factor in treatment outcomes and worthy of ongoing research.     

Serial Mediators of Memory Support Strategies Used With Cognitive Therapy for Depression: Improving Outcomes Through Patient Adherence and Treatment Skills

Patient memory for treatment is poor. Memory support strategies can be integrated within evidence-based psychological treatments to improve patient memory for treatment, and thereby enhance patient outcomes. The present study evaluated possible mechanisms of these memory support strategies. Specifically, we tested whether therapist use of memory support strategies indirectly predicts improved patient outcomes via serial improvements in (a) patient adherence throughout treatment and (b) patient utilization and competency of treatment skills. Adults with major depressive disorder (N = 178, mean age = 37.93, 63% female, 17% Hispanic or Latino) were randomized to Cognitive Therapy plus a Memory Support Intervention or Cognitive Therapy-as-usual. Because therapists from both treatment groups used memory support strategies, data from conditions were combined. Blind assessments of depression severity and overall impairment were conducted before treatment, immediately posttreatment (POST), at 6-month follow-up (6FU), and at 12-month follow-up (12FU). Patient adherence to treatment was rated by therapists and averaged across treatment sessions. Patients completed measures of treatment mechanisms—namely, utilization and competency in cognitive therapy skills—at POST, 6FU, and 12FU. Results of serial mediation models indicated that more therapist use of memory support predicted lower depression severity at POST, 6FU, and 12FU indirectly and sequentially through (a) increased patient adherence during treatment and (b) more utilization and competency of Cognitive Therapy skills at POST, 6FU, and 12FU. The same patterns were found for serial mediation models predicting lower overall impairment at POST, 6FU, and 12FU. Together, boosting memory for treatment may represent a promising means to enhance pantreatment mechanisms (i.e., adherence and treatment skills) as well as patient outcomes.     

Follow the leader: Identity leadership and moral behaviour in social situations among youth sport teammates

ObjectivesAlthough social identity has been linked to moral behaviour in past research, we know less about how the identity-enhancing behaviours of athlete leaders may relate to the experience of prosocial and antisocial behaviour between youth sport teammates. This study examined the relations between perceptions of athlete identity leadership and moral behaviour in social situations outside of training and competition.MethodsParticipants were 130 competitive male and female youth ice hockey players (M_age = 13.45 years, SD = 1.82, range = 10–17) from nine teams in a Northeastern Ontario city in Canada. Measures of identity leadership and moral behaviour were completed concurrently within the final three weeks of the regular season.ResultsUsing structural equation modeling, results demonstrated a significant positive association between identity leadership and both engaging in prosocial behaviour toward teammates (β = .37, p = .003) and receiving prosocial behaviour from teammates (β = 0.40, p < .006), accounting for 34% and 51% of the variance in each prosocial outcome, respectively. Although the relations with antisocial behaviour (engaged and received) were in the expected negative direction, the path estimates were not significant (ps > .23).ConclusionThese findings further our understanding of identity leadership in youth sport generally, offering insight into the relations between identity-enhancing athlete leader behaviours and moral behaviour. The findings also extend past moral behaviour research to consider the social situations in which teammates find themselves outside of training and competition.     

CBT/DBT-Informed Intensive Outpatient Treatment for Anxiety and Depression: A Naturalistic Treatment Outcomes Study

Anxiety and depression are highly prevalent and disabling mental health disorders, with comorbidity often posing as a barrier to successful treatment outcomes, thus creating a need for more intensive treatment options. Outpatient clinicians are more likely to refer patients with severe symptoms of anxiety and depression to inpatient hospitalizations rather than partial hospital programs (PHPs) or intensive outpatient programs (IOPs), despite evidence that inpatient hospitalization is associated with high costs and other risks following discharge. The present study reviews two case studies of patients who received cognitive-behavioral therapy/dialectical behavior therapy (CBT/DBT)-based IOP treatment in a private New York clinic. We evaluated treatment outcomes for 73 adult patients (50.7% female) with a mean age of 29.10 years (SD = 10.30). At intake, patients averaged 2.15 diagnoses (SD = 0.94, range = 4) and the majority (80.8%) were prescribed psychotropic medication. Treatment was structured and individually tailored, with patients receiving an average of 21.77 hours (SD = 15.06) of psychotherapy over 12.63 treatment sessions (SD = 9.76), across 12.21 days (SD = 9.61). We observed a clinically and statistically significant change in symptoms of anxiety (t = 6.24, p < .001), depression (t = 5.55, p < .001), and suicidality (t = 2.32, p < .05) over the course of the IOP. After completing treatment, 68.1% of participants tapered down to once-weekly treatment. The present study highlights the clinical utility of an IOP and suggests that this approach can be effective for adult patients presenting with severe symptoms of anxiety and/or depression.     

Psychotherapists’ psychological well-being: The role of epistemic orientation and emotion regulation

Psychotherapists’ mental health has been traditionally associated with the harmful consequences of clinical practice. In contrast to this dominant model, a growing body of research in positive psychology has sparked an interest in therapists’ positive well-being. The main objective of this study was to examine the relations between therapists’ epistemic orientation modes, emotion regulation strategies and psychological well-being (PWB). This was a cross-sectional study in which participants were 674 therapists (78.5% women), with a mean age of 42.02 years (SD = 13.06). Therapists completed an online questionnaire containing self-report measures of all study variables. Structural equation modelling using latent variables was performed to test the study hypotheses. Results revealed no significant direct effects of epistemic orientation on PWB. Up- and downregulation strategies had the most substantial direct effects on total PWB. Furthermore, emotion regulation mediated the association between therapists’ epistemic orientation modes and PWB, accounting for 57% of the variance in the outcome variable. Implications for training, practice and therapist self-care are discussed.     

Parents’ competitive stressors in professional German youth soccer academies: A mixed-method study

ObjectiveThis study was designed to identify parents’ competitive stressors in German elite youth soccer academies as well as their stressor-specific appraisals and emotions.Design and method330 parents (M_age = 46.0, SD = 6.2 years) completed a mixed-method online survey to indicate stressors encountered at their child’s competitions. Parental self-disclosed stressors were analyzed using qualitative content analysis (Mayring, 2014). Psychometric assessment of parents’ primary and secondary appraisal (PASA; Gaab, 2009) and emotions (SEQ; Jones et al., 2005) were subsequently used to conduct a stressor-specific analysis.Results and conclusionFrequency analysis yielded 831 competitive stressors of which the majority (47%) pertained to the own child, followed by those concerning other soccer parents (18%) or the child’s coach (15%). Univariate Analysis of Variance revealed coach-related stressors to be perceived significantly more as a challenge (primary appraisal) in contrast to situations with other soccer parents. Parents’ competency beliefs (secondary appraisal) were highest for stressors involving other soccer parents. Multivariate Analysis of Variance showed a significant difference in parents’ emotional experiences with coach-related stressors eliciting the highest anger scores. Parents’ stress experiences were characterized by circular causality and interdependency, suggesting a relational approach to stress for future studies. Implications are discussed to further guide theoretical advancements in the field of parental stress as well as to shape interactions and relationships within academy youth soccer.     

How class cohesion and teachers’ relatedness supportive/thwarting style relate to students’ relatedness,motivation, and positive and negative outcomes in physical education

The main goal of this study was to examine the links between class cohesion and teachers’ relatedness teaching style with students’ relatedness needs, motivation, and positive and negative outcomes in Physical Education. A total of 1294 students 10–18 years old (M = 14.40, SD = 1.99), 613 males (M = 14.48, SD = 1.95) and 681 females (M = 14.33, SD = 2.02), agreed to participate. They were enrolled in 88 classes belonging to 13 different primary and secondary schools in southwestern Spain. The study followed a correlational research design. Results of the multilevel path model showed a positive relationship between teachers’ relatedness support and class cohesion and behavioral and emotional engagement through relatedness need satisfaction and autonomous and controlled motivation. Results also showed a positive relationship between teachers’ relatedness thwarting and disruptive behaviors and problematic relationships through relatedness need frustration and amotivation. In conclusion, teachers’ relatedness behaviors and class cohesion can significantly impact the students’ relatedness and motivation, which in turn will affect their engagement and behaviors. A whole cascade of consequences begins with the way teachers teach and the cohesion generated in class. These first steps cannot be overlooked.     

Interactive effects of video,priming, and music on emotions and the needs underlying intrinsic motivation

ObjectivesEmotions can enhance motivation towards a particular goal (Brehm, 1999), while activation of human motivation does not necessarily involve conscious processes (Bargh, 1990). The main purpose of the present study was to explore the impact of video, priming, and music on a range of emotion- and motivation-related variables, while the secondary purpose was to conduct a cross-cultural comparison.DesignA randomized controlled design was employed to address the interactive effects of video, priming, and music on emotions and motivation with reference to the circumplex theory of emotion.MethodsParticipants comprised a convenience sample of 210 volunteers (English, n = 128; M = 20.0, SD = 4.7 years; Male, n = 65; Female, n = 63; Greek, n = 82, M = 23.3, SD = 2.4 years; Male, n = 59; Female, n = 23). A control condition and five experimental conditions were presented to participants in a counterbalanced order. The needs underlying intrinsic motivation were accessed using the Activity Feeling-state Scales (AFS; Reeve & Sickenius, 1994), while emotional states were assessed using adjectives from the Circumplex Model of Affect (Russell, 1980).ResultsFindings showed that music had positive effects on emotional states and the psychological needs underlying intrinsic motivation. They also highlighted the positive effects of priming as a psychological intervention – particularly when presented through video and coupled with music.ConclusionsThe study presents the state-of-the-art for the use of video, priming, and music in sport and includes recommendations for sport psychology practitioners and researchers.     

Introducing an instrument to measure body and fitness-related self-conscious emotions: The BSE-FIT

ObjectivesThe aim of this study was to develop a new self-report instrument to assess experiences of shame, guilt, authentic pride, and hubristic pride in a fitness context.Design and methodIn Study 1, 41 potential items were developed and assessed for item quality and comprehension. In Study 2, a panel of experts (N = 8; M = 10.55, SD = 6.49 years of experience) assessed the scale and items for validity evidence based on content. Participants in Study 3 (N = 435) completed the Body-related Self-Conscious Emotions Fitness instrument (BSE-FIT) and other established self-report measures of body image, personality, emotion, and behavior. A subset of participants (n = 38; 38% male) in Study 3 completed a 2-week follow-up.ResultsThe BSE-FIT subscale scores demonstrated evidence for internal consistency, temporal stability over a 2-week period, concurrent, convergent, and discriminant validity. A 4-factor conceptualization of the instrument was supported.ConclusionsOverall, the final 16-item BSE-FIT instrument shows promise as a new instrument for assessing shame, guilt, and authentic and hubristic facets of pride in fitness contexts.